Credit Services Manager - Insurance Verification
About The Position
At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You’ll lead with purpose, breaking down barriers to innovation in a more connected, compassionate world. A Day in the Life Diabetes Operating Unit: The Diabetes Operating Unit focuses on improving the lives of those within the global diabetes community. As a business, we strive to empower people with diabetes to live life on their terms by delivering innovation that truly matters and providing support in the ways they need it. We’re committed to meeting people with diabetes where they are in their journey, always with an aim to make their lives easier. Our portfolio of innovative solutions is designed to provide customers greater freedom and better health, helping them achieve better glucose control, while spending less time managing their disease. As the Manager of Revenue cycle - Collections, you are responsible for the operational management of the multiple processes within Patient Financial Services, Diabetes. This position will support the Sr Manager / Director at conducting end-to-end business analysis and review of production, revenue, and cash to enhance strategies and deliver revenue targets. Responsibilities: The role involves leading, interacting and collaborating with the onshore and offshore supervisors along with their teams who provides eligibility and insurance verification support to product sales teams by working assigned tasks within service level agreements. He / she should be well versed with utilizing the system, and/or contact the patient to obtain basic policy, plan and group numbers for all insurance carriers on the patient’s account to confirm eligibility and interact with insurance carriers/patients/websites to conduct comprehensive insurance benefit verifications for all insurance carriers with confirmed eligibility on the patient’s account. The individual will develop and execute strategic work plans and directives, driving initiatives across onshore and offshore teams to increase productivity, efficiency, revenue, and cash flow while reducing PFS operational costs. Manage assigned processes, lead weekly / monthly process reviews with sr. leadership. Additionally, the position entails leading quarterly and annual business planning, including budgeting, forecasting, and resource allocation. This position will be based either in our office in San Antonio, TX or Northridge, CA.
Requirements
- Bachelor’s degree and minimum of 5 years relevant experience, or advanced degree with a minimum of 3 years prior relevant experience.
Nice To Haves
- Business or Accounting major is preferred
- 15+ years’ experience in healthcare insurance collections, accounts receivable management, billing and claims processing, and insurance payor contracts.
- 10+ years of experience leading large US Healthcare accounts receivable portfolio
- Excellent interpersonal skills to communicate effectively with internal and external customers written and verbally.
- Advanced knowledge of insurance contracting, payor regulations, insurance benefits, coordination of benefits, managed care, and healthcare compliance, rules, and regulations.
- Advanced experience with reading, and understanding medical policy information, and utilizing insurance benefit and coverage information to recovery denied claims.
- Advanced experience with various insurance plans offered by both government and commercial insurances.
- Experience with medical billing and collections terminology – CPT, HCPCS, ICD-10 and NDC coding, HIPAA guidelines and healthcare compliance.
- Good operating knowledge of Microsoft programs, including Word, Excel, Visio, Power Point, and Teams.
- Ability to use Excel to generate reports, use of pivot tables and other features to analyze and present data.
Responsibilities
- The role involves leading, interacting and collaborating with the onshore and offshore supervisors along with their teams who provides eligibility and insurance verification support to product sales teams by working assigned tasks within service level agreements.
- He / she should be well versed with utilizing the system, and/or contact the patient to obtain basic policy, plan and group numbers for all insurance carriers on the patient’s account to confirm eligibility and interact with insurance carriers/patients/websites to conduct comprehensive insurance benefit verifications for all insurance carriers with confirmed eligibility on the patient’s account.
- The individual will develop and execute strategic work plans and directives, driving initiatives across onshore and offshore teams to increase productivity, efficiency, revenue, and cash flow while reducing PFS operational costs.
- Manage assigned processes, lead weekly / monthly process reviews with sr. leadership.
- Additionally, the position entails leading quarterly and annual business planning, including budgeting, forecasting, and resource allocation.
Benefits
- Medtronic offers a competitive Salary and flexible Benefits Package
- We offer a wide range of benefits, resources, and competitive compensation plans designed to support you at every career and life stage.
- Health, Dental and vision insurance
- Health Savings Account
- Healthcare Flexible Spending Account
- Life insurance
- Long-term disability leave
- Dependent daycare spending account
- Tuition assistance/reimbursement
- Simple Steps (global well-being program)
- Incentive plans
- 401(k) plan plus employer contribution and match
- Short-term disability
- Paid time off
- Paid holidays
- Employee Stock Purchase Plan
- Employee Assistance Program
- Non-qualified Retirement Plan Supplement (subject to IRS earning minimums)
- Capital Accumulation Plan (available to Vice Presidents and above, or subject to IRS earning minimums)
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Number of Employees
5,001-10,000 employees
